The effects of Turkish classical music on physiological parameters, pain and analgesic use in patients with myocardial infarction: A non-randomized controlled study

Abstract

Introduction: Cardiovascular diseases are one of the most important causes of morbidity and mortality worldwide. The purpose of the current study was to investigate the effect of listening to music on pain, analgesic use and physiological states on Turkish people with myocardial infarction.

Methods: This study was a non-randomized controlled clinical trial and was conducted in a coronary intensive care unit in a university hospital. The study was conducted with a total of 500 patients; 250 in the experimental group; 250 in the control group; participants were aged between 18 and 79 years; and able to speak, read and write Turkish. The control group received routine care after myocardial infarction while the experimental group listened instrumental Turkish classical music for 30 min in coronary intensive care. The choice of music was made by the researchers. The music, a classical instrumental Turkish music, (Zirgillemakamt) was soft, relaxing, and included instrumental melodies of 60-80 beats per minute (bpm) and was for 30 min with a volume of 50-60 dB. Face-to-face interviews and then Personal Sociodemographic characteristics and Visual Analog Scale were used to collect data.

Results: After the music listening, pain, analgesic use, systolic and diastolic blood pressure, pulse averages of the patients were decreased and oxygen saturation averages between the groups were increased and differences between groups was statistically significant (p < 0.001).

Conclusions: These findings support the use of music as an independent nursing intervention to manage pain, analgesic use and physiological states in patients after myocardial infarction. Listening to music during and after myocardial infarction can effectively reduce pain, analgesic use, systolic and diastolic blood pressure, pulse levels. Thus listening music may be a useful tool for coronary intensive care nursing.